BMCH2019-0057a,
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
T-ihr 4 4 4u&&
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
MECHANICAL/
BMCH2O19-0057
52130 AVENIDA VILLA
773234007
LEDESMA / HVAC CHANGEOUT
Applicant:
A R S AMERICAN RESIDENTIAL SERVICES OF C D
�v
965 RIDGE LAKE BLVD. #201
MEMPHIS, TN 38120 FEB 15 2019
CITY OF LA QUINTA
DESIGN & DEVELOPMENT DEPARTMENT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9
{commencing with Section 7000) of Division 3 of the Business and Professions Code, and
my License is in full force and effect.
License Class: 0D C20 License No.: 765074
Date:. �— I S ^ —Contractor: _4 _-S'_ '
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
city or county that requires a permit to construct, alter, improve, demolish, or repair any
structure, prior to its issuance, also requires the applicant for the permit to file a signed
statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business
and Professions Code) or that he or she is exempt therefrom and the basis for the
alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
(_) 1, as owner of the property, or my employees with wages as their sole
compensation, will do the work, and the structure is not intended or offered for sale.
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, and who does the work
himself or herself through his or her own employees, provided that the improvements
are not intended or offered for sale. If, however, the building or improvement is sold
within one year of completion, the owner -builder will have the burden of proving that he APPLICANT ACKNOWLEDGEMENT
or she did not build or improve for the purpose of sale.). IMPORTANT: Application is hereby made to the Building Official for a permit subject to
(_) I, as owner of the property, am exclusively contracting with licensed contractors to the conditions and restrictions set forth on this application.
construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State 1. Each person upon whose behalf this application is tirade, each person at whose
License Law does not apply to an owner of property who builds or improves thereon, request and far whose benefit work is performed under or pursuant to any permit issued
and who contracts for the projects with a contractor(s) licensed pursuant to the as a result Of this application , the owner, and the applicant, each agrees to, and shall
Contractors' State License Law.). defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
(_) I am exempt under Sec. B.&P.C. for this reason employees for any act Or omission related to the work being performed under or
fallowing issuance of this permit,
2. Any permit issued as a result of this application becomes null and void if work is not
commenced within 180 days from date of issuance of such permit, or cessation of work
for 180 days will subject permit to cancellation.
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/15/2019
Owner:
Martinez Victor / Ledesma Maria G
52130 AVENIDA VILLA
LA QUINTA, CA 92253
Contractor:
A R S AMERICAN RESIDENTIAL SERVICES OF C
965 RIDGE LAKE BLVD. #201
MEMPHIS, TN 38120
(951)276-9744
Llc. No.: 765074
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name,
Lender's
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
— I have and will maintain a certificate of consent to self -insure for workers'
Compensation, as provided for by Section 3700 of the Labor Code, for the performance
oft a ork for which this permit is issued.
-'I
have and will maintain workers' compensation insurance, as required by
Secti n 700 of the Labor Cade, for the performance of the work For which this permit is
Issued. My workers' compensation insurance carrier and policy number are:
Carrier: jERTY)NSURANCF rnpnnAnTinN Policy Number: WA763D52JE3101L
I certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree that, if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date � S f Applicant
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAG S UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this cit to a tefupon the ab -
mentioned property for inspection purposes
Dane' 412 S6gnature (Applicant orA
Dot.
1/15/2019
Application Number:
BMCH2019-0057
Property Address:
52130 AVENIDA VILLA
APN:
773234007
Application Description:
LEDESMA / HVAC CHANGEOUT
Property Zoning:
Application Valuation:
Applicant:
A R-AMERICAN RESIDENTIAL SERVICES -OF C
965 RIDGE LAKE BLVD. #201
MEMPHIS, TN 38120
Owner:
Martinez Victor / Ledesma Maria G
52130 AVENIDA VILLA
LA QUINTA, CA 92253
Contractor:
A R S AMERICAN RESIDENTIAL SERVICES OF C
965 RIDGE LAKE BLVD. #201
MEMPHIS, TN 38120
(951)276-9744
Llc. No.: 765074
------------------------------------ I ----------------
Detail: HVAC CHANGEOUT- 14 SEER/80 AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. PER 2016
CALIFORNIA BUILDING CODES.
FINANCIAL
DESCRIPTION
INFORMATION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$40.02
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$80.05
Total Paid for CHANGEOUT: $120.07
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$101.40
Total Paid for PERMIT ISSUANCE: $101.40
DESCRIPTION
ACCOUNT CITY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416 0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
�+
PERMIT R I�
PLAN LOCATION:
Project Address: A 130 AY011DA V 1 UA
Project Description: Pool, Remodel, Add't, Elect, Plumb ec
APN #:
f♦
•
� o w+
Applicant Name:
mwktr,�- 1n>AMz- -1,0 c
Address: `z-
`
City, ST, Zip-1`i V4.5- 10t CA, Q3ja.�
Telephone: 0 - C) (,P 15
.
Email:
Valuation of Project $ 151 e�1 0 C _
Contractor Name>l[�"`���Cs
New SFD Construction:
Address:5 ^--
Conditioned -Space SF
City, St, Zip�b2;>
Garage SF
Telephone: (p p �Cp S
Patio/Porch SF
Email:
Fire Sprinklers SF
State Lic:7(05b7 City Bus Lic:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms: Stories:
# Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name:MAV_t& t.EDE-,�;,mA,
New Commercial / Tenant Improvements:
Address: �ja 1 &D iail� I D& v 'pLCA
Total Building SF
City, ST, Zip Li i AJT-l- CA- 17,9a5,
3>
Construction Type: Occupancy:
Telephone: -74,t>- T99 -e6q. (P�
Email:
78495 CALLE TAMPICO
LA QU I NTA, CA 92253
760-777-7000
CERTIFICATE OF COMPLIANCE
CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-IR-ALT HVAC)
(Page 1 of 3)
Project Name:
LEDESMA,MARIA Date Prepared:
2019-02-13
A. General Information
CF1R-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented, use one
CF1R-ALT-02 document for each dwelling unit.
01 Project Name LEDESMA,MARIA
02 Date Prepared 2019-02-13
03 Project Location 52130 AVENIDA VILLA
04 Building Type Single family
05 CA City La Quinta
06 Dwelling Unit Name LEDESMA,MARIA
07 Zip Code 92253
Dwelling Unit Conditioned
OS 1296
Floor Area (ft)
Number of Space
09 Climate Zone 15
10 Conditioning (SC) Systems in 1
this Dwelling Unit:
B. Space Conditioning (SC) System Information
01 02 03 04 05
06 07 08 09
10
Is the SC Installing a
SC System SC System CIA served system a refrigerant
Installing new SC Installing Installing Installing
Identification or Location or Area by this SC ducted containing
system more than 40 entirely new entirely new
Name Served System (ft) system? component?
components? feet of ducts? duct system? SC system?
Alteration Type
System 1 Location 1 1296 Yes Yes
No No No No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib)
Registration Number: 419-A020013895A-000-000-0000000-0000
This section does not apply to this project.
Registration Date/Time: 2019-02-13 09:09:14
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-02-13 09:09:15
Schema Version: rev 20180426
CERTIFICATE OF COMPLIANCE
CFiR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC)
(Page 2 of 3)
D. Altered Space Conditioning System (Sections 150.2(b)1E and F)
01
02
03
04
05
06
07
08
09
10
11
12
Heating
Cooling
System
Heating
Altered
Heating
Minimum
Altered
Cooling
Minimum
Required
New or
Identification
System
Heating
Efficiency
Efficiency
Cooling
Cooling
Efficiency
Efficiency
Thermostat
Replaced
New Duct
or Name
Type
Components
Type
Value
System Type
Components
Type
Value
Type
Duct Length
R-Value
All new
All new
This field or
This field or
System 1
Central gas
heating
AFUE
0.8
Central split
cooling
SEER
14
Setback
section is not
section is not
furnace
components
AC
components
applicable
applicable
Reauired Documentation:
CF2R-MCH-01-E - Space Conditioning Systems
- Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums: R6 (CZ 1-10, 12 and 13) and R8 (CZ 11 and 14-16)
CF2R and CF3R-MCH-20-H - Duct Leakage Test required when heating or cooling components are installed in ducted systems, or when more than 40 ft of duct length is replaced
-Leakage rate compliance: <= 15 percent or <= 10 percent leakage to outside, or seal all accessible leaks.
CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CF2R and CF3R-MCH-23 Airflow Rate >= 300 CFM per ton required when MCH-25 is required.
Exceptions:
Duct systems registered with HERS provider as previously sealed are exempt from MCH-20 Duct Leakage Testing requirements.
Heating -only systems and Air Handler Furnace changes do not require verification of Air Flow MCH-23, or Refrigerant Charge MCH-25.
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH-20 Duct Leakage Testing requirements.
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)1E, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply to this project.
Registration Number: 419-A020013895A-000-000-0000000-0000
Registration Date/Time: 2019-02-13 09:09:14
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-02-13 09:09:15
Schema Version: rev 20180426
CERTIFICATE OF COMPLIANCE
CFI R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-IR-ALT HVAC)
(Page 3 of 3)
Documentation Author's Declaration Statement
I certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Christina Calhoun
Company:
Rightime Home Services
Address:
965 Ridge lake Blvd, Suite 201
City/State/Zip:
Memphis TN 38120
Responsible Person's Declaration statement
Documentation Author Signature:
Uw4ttnwCa&ot vt,
Signature Date:
2019-02-13
CEA/ HERS Certification Identification (if applicable):
Phone:
951-276-9744
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Compliance is true and correct.
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer).
3. That the energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the
requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations.
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.
5. I will ensure that a registered copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
Christina Calhoun
Company:
Rightime Home Services
Address:
965 Ridge lake Blvd, Suite 201
City/State/Zip:
Memphis TN 38120
Responsible Designer Signature:
Chre at'fna,Cn2hwuv,,
Date Signed:
2019-02-13
License:
765074
Phone:
951-276-9744
Digitally signed by CHEERSTM. This dipitai signature is provided in order to secure the content of this registered
document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 419-A020013895A-000-000-0000000-0000
Registration Date/Time: 2019-02-13 09:09:14
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001
Schema Version: rev 20180426
HERS Provider: CHEERS
Report Generated:2019-02-13 09:09:15